Provider Demographics
NPI:1871187948
Name:HARRY J . LAWALL & SON, INC.
Entity Type:Organization
Organization Name:HARRY J . LAWALL & SON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LAWALL
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:215-338-6611
Mailing Address - Street 1:3000 CABOT BLVD W
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1800
Mailing Address - Country:US
Mailing Address - Phone:215-338-6611
Mailing Address - Fax:215-332-7598
Practice Address - Street 1:1740 SOUTH ST
Practice Address - Street 2:SUITE 500A & 501
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1514
Practice Address - Country:US
Practice Address - Phone:215-332-7920
Practice Address - Fax:215-332-7950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRY J . LAWALL & SON, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-01
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier